韩建武 王学群 黄雪莲

[摘要] 目的 初步探讨不同危险人群分类的大肠肿瘤检出情况，为预防和治疗大肠癌提供科学依据。 方法 对所有来笔者所在医院行肠镜检查的患者均采用问卷调查，采用本课题组的人群分类，测量身高、体重，并记录有无糖尿病及病程，分别计算不同人群大肠肿瘤检出情况。 结果 2009年1月～2011年12月行大肠镜检查符合纳入条件者1 035例，根据肠镜检查及活检病理结果，共检出大肠腺瘤86例、大肠息肉106例和大肠癌69例。大肠肿瘤（大肠腺瘤+大肠息肉+大肠癌）总的检出率为25.2%（261例），其中高危人群大肠肿瘤检出率为42.2%（111/263），中危人群检出率为25.4%（48/189），低危人群检出率为23.1%（83/359），普通人群大肠肿瘤检出率为8.5%（19/224）。不同人群间检出率比较显示，高危人群大肠肿瘤检出率高于其他组，差异有统计学意义（P＜0.05）；低危人群组与中危人群组大肠肿瘤检出率比较，差异无统计学差异（P＞0.05）。 结论 筛查并发现大肠肿瘤的高危人群，及时加以干预，有利于降低大肠癌的发病率及死亡率。

[关键词] 结直肠肿瘤；腺瘤；检出率

[中图分类号] R735.3???[文献标识码] A???[文章编号] 2095-0616（2012）15-54-02

Research of the colorectal tumors detected information of the different risk classification populations

HAN?Jianwu??WANG?Xuequn??HUANG?Xuelian

Department of Internal Medicine, the People's Hospital of Boluo County, Boluo516000, China

[Abstract] Objective To explore the colorectal tumors detected information of the different risk classification populations and provided the scientific basis for the prevention and treatment of colorectal cancer. Methods All patients underwent colonoscopy in the author's hospital filled out the questionnaires. Used the classification of the task force groups, measured patients' height, and weight, recorded with or without diabetes and the duration, calculated the colorectal tumors information of different groups. Results There were 1 035 patients meted the inclusion criteria by colonoscopy from January 2009 to December 2011. According to the results of colonoscopy and biopsy, 86 cases of colorectal adenomas, 106 cases of colorectal polyps and 69 cases of colorectal cancer ware detected. The total detection rate of colorectal tumors (colorectal adenomas + colon polyps + colorectal cancer) was 25.2% (261/1035),which colorectal tumor detection rate of high-risk group was 42.2% (111/263), detection rate of moderate-risk group was 25.4% (48/189), detection rate of Low-risk group was 23.1% (83/359), and colorectal cancer detection rate of the general population was 8.5% (19/224). The detection rate of different groups of people revealed the colorectal tumor detection rate of high-risk group was higher than other groups, the difference was statistically significant(P＜0.05); colorectal tumor detection of rate Low-risk group and moderate-risk groups was no significant difference (P＞0.05). Conclusion Screening and finding the colorectal tumors of high-risk group, timely intervention is good to reduce the morbidity and mortality of colorectal cancer.

[Key words] Colorectal cancer; Adenoma; Detection rate

大肠肿瘤是国内外最常见的肿瘤之一，发病率逐年升高。近20来，有关大肠癌高危人群的研究很多[1]，但是大肠肿瘤，包括大肠腺瘤、大肠息肉和大肠癌，相关的危险人群研究较少。为此，笔者拟定大肠肿瘤的危险人群分类标准进行了相关研究，初步了解各类人群患大肠肿瘤的危险性，现报道如下。

1?资料与方法

1.1?一般资料

选择2009年1月～2011年12月来笔者所在医院行肠镜